Individual
TASHA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
757 WESTWOOD PLZ FL 5, LOS ANGELES, CA 90095-6062
(310) 267-7565
(310) 267-3599
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
95010359
CA
Other
Enumeration date
08/07/2017
Last updated
06/03/2024
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